DR. SCOTT A LILES (NPI# 1740241264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740241264 |
| Entity Type | Individual |
| Full Name | DR. SCOTT A LILES |
| Credential | M.D. |
| Practice Address |
5301 E. Huron River Dr. Ann Arbor MI 48106 |
| Mailing Address |
3940 Steamboat Ct Ann Arbor MI 48108-9324 |
| Practice Telephone | 7347124108 |
| Practice Fax Number | 7347124129 |
| Mailing Telephone | 7342134636 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2010-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301069076 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4170591 | 05 | |
| MI | MEDICAL LICENSE | 4301069076 | 01 |
| Street Address |
5301 E. HURON RIVER DR. |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033465463 | Susan Teresa Burdick | Pharmacist | 5301 E. Huron River Dr., Ann Arbor, MI 48106-0995 | 2012-08-03 |
| 1891910105 | Robert Sudhir Vaidya | Internal Medicine | 5301 E. Huron River Dr., Ann Arbor, MI 48106 | 2007-04-13 |
| 1104994755 | James Howell | Family Medicine | 5301 E. Huron River Dr., Ann Arbor, MI 48106 | 2006-12-01 |
| 1518914712 | Chaya Kenkre | Internal Medicine | 5301 E. Huron River Dr., Ann Arbor, MI 48106 | 2006-05-31 |
| 1366402034 | Kathy Marie Gottfried | Nurse Anesthetist, Certified Registered | 5301 E. Huron River Dr., Department of Anesthesiology, Ann Arbor, MI 48106 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335363 | Epmg Northern Michigan Pllc | Nurse Practitioner | 5301 E Huron River Dr Er, Ann Arbor, MI 48106 | 2019-03-13 |
| 1316405103 | Epmg Southwest Michigan Pllc | Emergency Medicine | 5301 E Huron River Rd, Ann Arbor, MI 48106 | 2019-03-11 |
| 1972005601 | Andie Michelle Stark | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 100, Ann Arbor, MI 48106 | 2018-03-08 |
| 1902308471 | Stacey Pagorek | Physical Therapist | 24 Frank Lloyd Wright Drive Lobby A - Medsport, Ann Arbor, MI 48106 | 2018-03-01 |
| 1386150217 | Joyce Barretto Patterson | Dietitian, Registered | Domino's Farm Lobby C, 24 Frank Lloyd Wright Dr., Suite 1300, Ann Arbor, MI 48106 | 2017-12-14 |
| 1376055350 | Sarah Anne Floyd | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-10-30 |
| 1932639788 | Jasmine Dominique Harris | Specialist/Technologist | 4008 Ave Maria Drive, Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-06-14 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1366738213 | Zeena Husain | Anesthesiology | 5301 East Huron River, Anesthesia Department, Ann Arbor, MI 48106 | 2011-06-20 |
| 1942505458 | Angela Nicole Bartley | Pathology | 5305 E. Huron River Drive, Ann Arbor, MI 48106 | 2011-01-13 |
| Find all providers in zip 48106 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003268954 | Laila Alia Gharzai | Internal Medicine | 1500 E Medical Center Dr Spc 5010, Ann Arbor, MI 48109 | 2016-07-04 |
| 1376993568 | Gurkirat Kaur Gill | Internal Medicine | 500 S State St, Ann Arbor, MI 48109-1382 | 2016-06-17 |
| 1700249026 | Michael Wayne Stevens | Internal Medicine | 1500 E Medical Center Dr Spc 5243, Ann Arbor, MI 48109-5243 | 2016-04-04 |
| 1518348697 | Linda Wang | Internal Medicine | 4260 Plymouth Rd Rm B1-313, Ann Arbor, MI 48109 | 2015-06-15 |
| 1922493956 | Debbie W Chen | Internal Medicine | 24 Frank Lloyd Wright Dr Ste 1300, Ann Arbor, MI 48105-9484 | 2015-04-06 |
| 1356735765 | Salma Shaikhouni | Internal Medicine | 1500 E Medical Center Dr Spc 53643914, Ann Arbor, MI 48109-5000 | 2015-03-24 |
| 1699172676 | David Noel O'dwyer | Internal Medicine | 1500 East Medical Centre Dr, 3rd Floor Taubman Center Recp C, Ann Arbor, MI 48109-4585 | 2014-11-19 |
| 1417375791 | Rebecca Hartog | Internal Medicine | 1540 E Hospital Dr Spc 4204, Ann Arbor, MI 48109 | 2014-04-03 |
| 1982022448 | Donald Alexander Perry | Internal Medicine | 1500 E Medical Center Dr, Spc 5226, F4132 University Hospital South, Ann Arbor, MI 48109-5226 | 2014-04-02 |
| 1578988598 | Downriver Medical Center, P.l.l.c. | Internal Medicine | 245 High Orchard Dr, Ann Arbor, MI 48105 | 2014-02-27 |
| Find all providers in ANN ARBOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.